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Resident Involvement in Tactical Medicine: 12 Years Later.

Nicholas P Petit1, Jason P Stopyra1, Ricardo A Padilla2

  • 11.Wake Forest University School of Medicine,Department of Emergency Medicine,Winston Salem, North CarolinaUSA.

Prehospital and Disaster Medicine
|March 30, 2019
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Summary

Tactical medicine training for physicians has significantly increased, with 53% of Emergency Medicine residencies now offering it, up from 18% in 2005. Most Emergency Medical Services fellowships also incorporate this vital training.

Keywords:
ACGME Accreditation Council for Graduate Medical EducationEM Emergency MedicineEMS Emergency Medical ServicesTEMS Tactical Emergency Medical Supporttactical EMStactical medicinetraining

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Tactical Medicine

Background:

  • Tactical medicine, providing medical support to law enforcement and military special operations, is a growing field.
  • Most tactical physicians are emergency physicians with specialized training.
  • A 2005 survey indicated 18% of EM residencies offered tactical medicine exposure.

Purpose of the Study:

  • To assess changes in tactical medicine exposure during Emergency Medicine (EM) residency and Emergency Medical Services (EMS) fellowship training.
  • To compare current exposure rates with a 2005 survey.

Main Methods:

  • An online survey was distributed to all US EM residency and EMS fellowship programs.
  • Response rates were 46% for EM residencies and 91% for EMS fellowships.

Main Results:

  • 53% of responding EM residencies now offer formal tactical medicine training, a significant increase from 18% in 2005 (P < .0001).
  • 72% of responding EMS fellowships offer tactical medicine training.
  • Trainee experiences varied from observation to active participation, including support for law enforcement agencies.

Conclusions:

  • Tactical medicine training opportunities for physicians have grown substantially over the past decade.
  • A majority of EM residencies and EMS fellowships now include tactical medicine in their curricula.
  • This expansion reflects the increasing importance of specialized medical support in tactical operations.